Emergency Medical Technician (EMT) Intermediate Practice Exam

When managing an adult patient with an inhalation injury and altered mental status, what should you prepare for?

1. Immediate fluid resuscitation

2. Early definitive airway management

3. Administration of bronchodilators

4. Chest tube insertion

The correct answer is: Early definitive airway management

In the scenario of managing an adult patient with an inhalation injury alongside altered mental status, early definitive airway management is crucial. Inhalation injuries can lead to significant airway swelling and obstruction, which can rapidly compromise the patient's ability to breathe. When the patient also presents with altered mental status, their ability to maintain a patent airway is further diminishing due to potential decreased consciousness or reflexes. Definitive airway management, such as endotracheal intubation, is necessary to ensure that the airway remains open and secure, allowing for proper ventilation and oxygenation. This is particularly important in the context of inhalation injury where the risk of airway compromise is high due to potential edema and the accumulation of secretions. While other interventions like fluid resuscitation, administration of bronchodilators, or chest tube insertion may be necessary in the management of certain conditions, they do not address the immediate and critical need for airway protection in this context. Prioritizing airway management in patients with altered mental status and inhalation injuries is essential to prevent further deterioration and ensure survival.